POST TEST- GASTROINTESTINAL SYSTEM - NURSING 104

POST TEST- GASTROINTESTINAL SYSTEM Total points24/30 1. Which intervention would the nurse include in the teaching plan for a client diagnosed with gastro esophageal reflux disease ? A. Avoiding eating within 2 hour ...

POST TEST- GASTROINTESTINAL SYSTEM Total points24/30 1. Which intervention would the nurse include in the teaching plan for a client diagnosed with gastro esophageal reflux disease ? A. Avoiding eating within 2 hours of bedtime B. Completing all antibiotics C. Eating a high-fat, low-fiber diet D. Sleeping with the head of the bed flat 2. A client who has been diagnosed with gastro esophageal reflux disease complains of heartburn. To decrease the heartburn, the nurse should instruct the client to eliminate which of the following items from the diet? A. Lean beef B. Air-popped popcorn C. Hot chocolate D. Raw vegetables 3. The client attends two sessions with dietitian to learn about diet modifications to minimize gastroesophageal reflux. The teaching would be considered successful if the client says that she will decrease her intake of which of the following foods? A. Fatty foods B. High-sodium foods C. Carbohydrates D. High-calcium foods 4. A nurse, assessing a client's stool, notes the stool to be black and tarry. The nurse recognizes that this is indicative of which of the following? A. Fat malabsorption B. Upper gastrointestinal bleeding C. Bleeding from hemorrhoids D. Bleeding from the colon 5. Dietary Instructions for a client with peptic ulcer disease should include: A. Reducing intake of high-fiber foods B. Eliminating intake of alcohol and coffee C. Eating small, frequent meals, and a bedtime snack D. Eating mainly bland foods and milk or dairy products 6. In order to promote healing the nurse know that the main diet of a client with peptic ulcer disease should be: A. Increasing carbohydrates B. Increasing proteins C. Increasing fibers D. Increasing fats Correct answer B. Increasing proteins7. Which option describes the rationale for administering histamine-2 (H2)-receptor antagonists in a client diagnosed with peptic ulcer disease? A. Change in stomach acid to a viscous material that binds to proteins in ulcerated tissues. B. Decrease in the amount of hydrochloric acid secreted by the parietal cells in the stomach. C. Inhibition of vagal stimulation, thereby decreasing gastric acid secretions in the duodenum D. Neutralization of hydrochloric acid in the stomach, thereby decreasing the gastric pH Correct answer B. Decrease in the amount of hydrochloric acid secreted by the parietal cells in the stomach. 8. A client is taking cimetidine for treatment of peptic ulcer disease. Which of the following statements made by the client indicates to the nurse that the client understands the medication therapy? A. "I take the cimetidine and an antacid with meals and at bedtime." B. "I take the cimetidine after meals and at bedtime." C. "I take the cimetidine only if my stomach hurts after eating." D. "I take the cimetidine before meals." Correct answer B. "I take the cimetidine after meals and at bedtime." 9. The pain of a duodenal ulcer can be distinguished from that of a gastric ulcer by which of following characteristics? A. Early satiety B. Pain on eating C. Dull upper epigastric pain D. Pain on an empty stomach 10. The client with a duodenal ulcer may exhibit which of the following findings on assessment? A. Hematemesis B. Malnourishment C. Melena D. Pain with eating 11. The nurse is caring for a client who has just had an upper GI endoscopy. The client’s vital signs must be taken every 30 minutes for 2 hours after the procedure. One hour later, the client, who was previously afebrile, has developed a temperature of 101.8°F (38°C). What should the nurse do in response to this reported assessment data? A. Promptly assess the client for potential perforation B. Change thermometers and retake the temperature C. Plan to give the client acetaminophen (Tylenol) to lower the temperature D. Bathe the client with tepid water 12. A client is admitted to the hospital after vomiting bright red blood and is diagnosed with a bleeding duodenal ulcer. The client develops a sudden, sharp pain in the mid-epigastric region along with a rigid, boardlike abdomen. These clinical manifestations most likely indicate which of the following? A. An intestinal obstruction has developed B. Additional ulcers have developed C. The esophagus has become inflamed